2012 IGFP Conference Registration

Last Name *
First Name *
Title

I am *

veterinarian
non-veterinarian

Adress *
Zip/Postal Code *
City *
State/Province/Region
Country *
Email *
please repeat Email *
Phone
place for divergent invoice address:

I am *

not Certified IGFP Member (360.- €)
certified IGFP-member (310.- €)
IAED/NVVGP Member (360.- €)
Veterinary medicine student (160.- €)
IGFP Non Member (410.- €)

"Come Together" will take place on 3rd march 2012 at 8 pm for a fee of 25 Euro p.p. Please tell us, if you want to participate

I will participate a fee of 25 Euro p.p.
I will not participate

Number of participants *

Meeting of IGFP members will take place on Friday, March 2nd 2012 at 6 p.m. Please tell us, if you want to participate (only IGFP Members):

I will not participate in meeting of members
I will participate in meeting of members
I am not IGFP Member

place for questions or comments:

Herewith I accept

the registrations- and participation terms

for the IGFP-Congress on March 3rd and 4th 2012 at Niedernhausen, Germany.

Yes

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2012 IGFP Conference Registration